Self test kits - Under 16s

Under 16s

We are sorry but we are not allowed to send self test kits to people under the age of 16 without speaking to you first.

We will offer you a fast track appointment to be seen in clinic.

Please fill in the information below and someone will contact you within 2 working days.

Alternatively, you can call 0208 401 3553 to book directly. Please note this service is only available during clinic hours.

If you do not hear from us please email ch-tr.sexualhealth@nhs.net

Personal information

Note: Questions marked by * are mandatory

*This is a mandatory field. What is your first name?

*This is a mandatory field. What is your surname?

*This is a mandatory field. What is your date of birth?

*This is a mandatory field. What is your gender?

Male (cis or trans)
Female (cis or trans)
Non-Binary
Rather Not Say

*This is a mandatory field. Is your gender the same as your gender assigned at birth?

Yes
No

*This is a mandatory field. What is your phone number?

*This is a mandatory field. What is your email address?

Any other useful information